Archived: Dr Gul Mohammad Khan Also known as Aleeshan Medical Centre

Updated 30 January 2017

The practice of Dr Gul Mohammad Khan is also known as Aleeshan Medical Centre. The practice is located in an end terraced house in a residential area of Cheetham Hill, Manchester.

The male life expectancy for the area is 75 years compared with the CCG average of 73 years and the national average of 79 years. The female life expectancy for the area is 79 years compared with the CCG average of 78 years and the national average of 83 years.

The majority of patients are of black and minority ethnic group with many of the patients not speaking English as their first language, and a high portion of patients are illiterate.

The data also showed a higher number of males than females registered with the practice; we were told that this was due to the practice having no female GP or nurse. There is a lower than average number of patients over the age of 60 and a higher than average number of young patients under the age of 19.

The practice is run by a single handed male GP supported by a practice manager and three reception staff. There is no practice nurse.

The practice is open from 8am until 7pm Monday, Thursday. Each Tuesdays and Friday the practice open 8am to 6.30pm. Every Wednesday afternoon from 1pm the practice is closed. Extended hours every Monday and Thursday evening between 6.30pm and 7pm.

Patients requiring a GP outside of normal working hours are advised to call “ Go-to- Doc” using the usual surgery number and the call is re-directed to the out-of-hours service. The surgery is part of the Prime Ministers GP Access scheme offering extended evening and weekend appointments to patients.

The practice delivers commissioned services under the General Medical Services (GMS) contract. There were 1271 patients on the practice list at the time of our inspection .The practice is a member of North Manchester Clinical Commissioning Group (CCG).

Updated 30 January 2017

Letter from the Chief Inspector of General Practice

We previously carried out an announced comprehensive inspection of this practice on 10 June 2015. The practice was rated as requires improvement with multiple breaches identified in the safe, effective and well led domains.

We carried out a further announced comprehensive inspection at Dr Gul Mohammad Khan on 12 September 2016. Overall the practice is rated as good.

• Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses, however there was a need to ensure the policy was up to date.
• The practice had processes and a policy in place to keep patients safe and safeguarded from abuse.
• The practice had a number of policies and procedures to govern activity; however we identified not all policies were not up to date or hand written changes were not reflected in the electronic versions.
• The practice maintained appropriate standards of cleanliness and hygiene with external cleaning provider attending weekly, however the day to day cleaning provided by practice staff, did not follow control of substances hazard to health (COSHH) in storage of the equipment.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
• Patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.
• The practice had appropriate facilities and was equipped to treat patients and meet their needs.
• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• The provider was aware of and complied with the requirements of the duty of candour.

The areas where the provider must make improvements are:

• Ensure the practice policies are a true reflection of practice working process, are up to date and identical in paper and electronic format.
• Ensure COSHH procedures are developed for the equipment storage of all the practice’s cleaning equipment.

In addition the provider should:

• Review employing a female nurse or GP into the practice
• Review SMART cards access for all staff is to the appropriate level.
• Carry out a risk assessments for having no defibrillator at the practice.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 30 January 2017

The practice is rated as requires improvement for the care of people with long-term conditions. The provider was rated as requires improvement for safety and effective providing a service.

• The GP played a lead role in chronic disease management.
• Longer appointments and home visits were available when needed.
• All these patients had a named GP and a structured annual review to check their health and medicines needs were being met. For those patients with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 30 January 2017

The practice is rated as requires improvement for the care of families, children and young people. The provider was rated as requires improvement for safety and effective providing a service.

• The provider was a single-handed male GP. Arrangements were in place for female patients who were referred to another clinic.
• Immunisation rates for the standard childhood immunisations were mixed. Immunisation rates for children aged under two year olds ranged from 84% to 100%
• Appointments were available outside of school hours and the premises were suitable for children and babies.

Updated 30 January 2017

The practice is rated as requires improvement for the care of older people. The provider was rated as requires improvement for safety and effective providing a service.

• The practice was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.
• There were arrangements in place to provide flu and pneumococcal immunisation to this group of patients.
• The practice offered personalised care to meet the needs of the older people in its population.

Updated 30 January 2017

The practice is rated as requires improvement for the care of working-age people (including those recently retired and students). The provider was rated as requires improvement for safety and effective providing a service

• The practice offered online services as well as a full range of health promotion and screening that reflected the needs for this age group.
• Routine health checks were also available for patients between 40 and 74 years old.
• Extended hours opening was available twice a week and patients could book an appointment in advance.
• Health promotion advice, including travel health, was available.

Updated 30 January 2017

The practice is rated as requires improvement for the care of people experiencing poor mental health (including people with dementia). The provider was rated as requires improvement for safety and effective providing a service

• 100% of people experiencing poor mental health had received an annual physical health check.
• The practice carried out advance care planning for patients with dementia.
• The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.

Updated 30 January 2017

The practice is rated as requires improvement for the care of people whose circumstances may make them vulnerable. The provider was rated as requires improvement for safety and effective providing a service

• The practice held a register of patients living in vulnerable circumstances including those with a learning disability.
• Staff knew how to recognise signs of abuse in vulnerable adults and children, all had received training.
• The practice worked with multi-disciplinary teams in the case management of vulnerable people.